RSPH Call For New Approach To Smoking Cessation

A new report from the Royal Society for Public Health (RSPH) has called for a new "harm reduction" approach to helping smokers quit.

The report calls for "the public confusion over nicotine to be addressed as a way of encouraging smokers to use safer forms of the substance".

The RSPH said that nicotine in cigarettes is harmful due to the "other chemicals such as tar and arsenic", and as a highly addictive substance getting hooked on nicotine is one of the prime reasons why people become dependent on cigarettes, however, nicotine by itself is "fairly harmless".

Electronic cigarettes and Nicotine Replacement Therapy (gum, lozenges, and patches) contain nicotine but don't contain the harmful substances found in cigarettes, the report states.

Research carried out by RSPH found that 90% of the public regard nicotine itself as harmful, a statistic it described as "alarming".

Due to this they are now calling for measures to promote safer forms of nicotine products to smokers and make it harder to use tobacco.

Among the measures that are being called for in its report, 'Smoking cessation: taking a harm reduction approach', are:

• Introduction of a smoking exclusion zone around pubs, bars and schools – allowing use of e-cigarettes but not allowing cigarette smoking. If smoking was banned from outside pubs and bars 50% of adults would be more likely to use these areas, and roughly one third of smokers would be more likely to use alternatives to cigarettes such as e-cigarettes or NRT.

• Greater utilisation of e-cigarettes by smoking cessation services; only three out of 134 stores selling tobacco sold either NRT or e-cigarettes and over two thirds of the public back this measure.

• Mandatory sale of Nicotine Replacement Therapy in shops selling cigarettes. In one study, fewer than 0.5% of retailers sold Nicotine Replacement Therapy; almost three quarters of the public (70%) support mandatory sales of such products.

• Licensing of all purveyors of cigarettes so that Local Authorities can remove the license of any retailers found not to be acting in accordance with tobacco legislation, such as age restrictions and the display ban.

• Renaming e-cigarettes nicotine sticks or vapourisers to distance them from cigarettes.

Shirley Cramer CBE, Chief Executive of RSPH, said: "Over 100,000 people die from smoking-related disease every year in the UK. While we have made good progress to reduce smoking rates, 1 in 5 of us still does. Most people smoke through habit and to get their nicotine hit.

"Clearly we would rather people didn't smoke, but in line with NICE guidance on reducing the harm from tobacco, using safer forms of nicotine such as NRT and e-cigarettes are effective in helping people quit.

"Getting people onto nicotine rather than using tobacco would make a big difference to the public's health – clearly there are issues in terms of having smokers addicted to nicotine, but this would move us on from having a serious and costly public health issue from smoking related disease to instead address the issue of addiction to a substance which in and of itself is not too dissimilar to caffeine addiction."

(MH/JP)